Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINA OUTREACH, LLC

NPI: 1679956601 · DURHAM, NC 27707 · Community/Behavioral Health Agency · NPI assigned 07/08/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$5.35M
Total Medicaid Paid
27,744
Total Claims
4,452
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialBROOKS, TIMOTHY (CO-DIRECTOR)
Parent OrganizationCAROLINA OUTREACH, LLC
NPI Enumeration Date07/08/2015

Related Entities

Other providers sharing the same authorized official: BROOKS, TIMOTHY

ProviderCityStateTotal Paid
HEALTHKEEPERZ, INC PEMBROKE NC $41.32M
CAROLINA OUTREACH, LLC RALEIGH NC $37.99M
CAROLINA OUTREACH, LLC CHARLOTTE NC $28.25M
HEALTHKEEPERZ, INC PEMBROKE NC $20.07M
CAROLINA OUTREACH, LLC WILSON NC $8.94M
CAROLINA OUTREACH, LLC DURHAM NC $4.68M
HEALTHKEEPERZ, INC FAYETTEVILLE NC $791K
ALLIANCE EMERGENCY SYSTEMS, LLC SARATOGA SPRINGS NY $119K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,166 $1.48M
2019 8,838 $1.67M
2020 10,740 $2.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 27,744 4,452 $5.35M